| Melody M. Lee | |
|
212 Judah St Roseville CA 95678-2608 | |
| (916) 704-4518 | |
| Not Available |
| Full Name | Melody M. Lee |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 212 Judah St, Roseville, California |
| Authorized Official Name and Position | Melody Marie Lee (OWNER) |
| Authorized Official Contact | 9167044518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melody M. Lee 1037 Danielle Dr Roseville CA 95747-8502 Ph: (916) 704-4518 | Melody M. Lee 212 Judah St Roseville CA 95678-2608 Ph: (916) 704-4518 |
| NPI Number | 1114324100 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 11/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114324100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 52693 (California) | Primary |
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